Individual provider Active NPI

Jenna M. Kaup, APRN

  • Nurse Practitioner
  • O'Neill, NE
National Provider Identifier
1508120791
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111355 Issued in NE
Practice address
304 E Douglas St
Oneill, NE 68763-1830
Phone
(402) 336-4222
Fax
(023) 361-2884
NPI assigned
Jul 2, 2012
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111355 NE Primary

Addresses

Primary practice location

304 E Douglas St
Oneill, NE 68763-1830

Mailing address

PO Box 123
Stuart, NE 68780-0123
Phone (402) 750-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000351 NE Practitioner - Nurse Practitioner 2163673609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elkhorn Valley Family Medicine, PCGroup PAC ID 8123001070, 4 clinicians

Practice addresses (Care Compare)

304 E Douglas St
Oneill, NE 68763-1830
Phone (402) 336-4222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
111355NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Anthonys Hospital Current Accepting new patients
Avera St Anthonys Hospital CurrentSince Jul 30, 2012 Accepting new patients
Avera St Anthonys Hospital Nurse Practitioner CurrentSince Jul 30, 2012 Accepting new patients
Avera St Anthonys Hospital CurrentSince Oct 1, 2025 Accepting new patients

Locations

1503 Main St
Creighton, NE 68729
Phone (402) 358-5700

300 N 2nd St
Oneill, NE 68763
Phone (402) 336-2900

300 N 2nd St
Ste 100
Oneill, NE 68763
Phone (402) 336-2900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1508120791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800123",
            "telephone_number": "402-750-2206",
            "fax_number": "402-336-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E DOUGLAS ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631830",
            "telephone_number": "402-336-4222",
            "fax_number": "023-361-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUP",
        "first_name": "JENNA",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Neill, NE

Sources for this page

Verify at the official NPI Registry.